NPI | 1275727745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 0336) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WY 336) |
225100000X Physical Therapist (Licence: AZ 2110) | |
225100000X Physical Therapist (Licence: ND 806) | |
Enumeration Date | 2007-08-28 |
Last Update Date | 2008-08-28 |